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z- Vitamins (Chapter 26) & Trace Elements (Chapter 27)
MLS 4625 Dr. Saleh A. Naser Fall 2010
29
Chemistry
Undergraduate 4
10/18/2010

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Term
Vitamins Fat Soluble
Definition
Vitamin A
Vitamin D
Vitamin E
Vitamin K

(KADE)
Term
Vitamins Water Soluble
Definition
B1
B2
B6
Niacin
Folic Acid
Vitamin B12
Biotin
Panthothenic acid
Vitamin C
Term
Vitamin A
Definition
Retinol: needed for vision
Term
Vitamin D
Definition
Ca2+ metabolism, bone density
Ergocalciferol + Cholecalciferol + UV light + cholesterol make Vitamin D
Term
Vitamin E
Definition
Associated with hemolytic anemia
Term
Vitamin K
Definition
Needed for blood clotting
Term
Vitamin B1
Definition
Thiamine
Used for carbohydrate metabolism
Term
Vitamin B2
Definition
Riboflavin
Needed for oxidation/reduction reactions
Term
Vitamin B6
Definition
Pyridoxine
amino acid, glycogen & phospholipid metabolism
Term
Niacin
Definition
Nicotinic acid
Found in bread, yougurt and milk
Needed for oxidation/reduction reactions
Term
Folic Acid
Definition
Derivative of glutamic acid for DNA synthesis
Deficiencies cause neural tube defects, and megaloblastic anemia
Term
Vitamin B12
Definition
Cyanocobalamin
responsible for branched chain keto a.a. metabolism
B12 binds to intrinsic factors (IF), then gets absorbed through the intestines
No IF leads to pernicious anemia (type of meguloblastic anemia)
Use the schilling test to evaluate disease
Term
Biotin
Definition
Needed for carboxylation reactions
Term
Pantothenic acid
Definition
associated with burning feet syndrome
needed for general metabolism
Term
Vitamin C
Definition
Ascorbic acid
needed for connective tissue formation
antioxidant
associated with Scurvy
Term
Iron (Clinical Significance)
Definition
↓↓ iron: iron-deficiency anemia
↑↑ iron: polycythemia (iron overload)

↓↓ Cu2+ will lead to iron deficiency anemia
Term
Iron (Pathway)
Definition
RBC's last 120 days → lyse → Hb release → Ferrous Iron (Fe2+) → Ceruloplasmin CER → Ferric Iron (Fe3+) → Apotransferrin → Transferrin → Bone marrow
Term
Distribution of Iron
Definition
Circulation
Serum iron
Transferrin
Tissue
Ferritin – apoferritin + Fe 3+ (storage form)
Hemosiderin – aggregate of ferritin
Term
Zinc
Definition
Increased Zn2+ inhibits Cu2+ absorption which will cause anemia
Green tea (phytate) will inhibit Zn2+ and Cu2+
Involved in healing & immune function
Term
Zinc (Clinical Significance)
Definition
↓↓ Levels: due to diet
Causes growth retardation, hepatomegaly, testicular disorders
Term
Copper
Definition
Integral part of metalloenzymes (Ceruloplasmin: acts as ferro-oxidase)
Term
Copper (Clinical Significance)
Definition
↓↓ levels caused by:
diet
metal-chelating therapy
Menke’s Syndrome – genetic defect in storage & transport of Cu
Kayser-Fleischer Rings – green-brown deposits in the cornea
Term
Lab Analysis of Vitamins & Minerals
Definition
No hemolysis (falsely increase results)
Ultrasensitive machines needed
Diet may interfere with testing
Serum gel tubes are necessary, EDTA will chelate everything with a positive charge (cations)
Term
Cobalt
Definition
Part of cyanocobalt amine – Vitamin B12
Deficiency: megaloblastic anemia
Term
Magnesium
Definition
Major intracellular cation
Functions:
1. Integral part of metalloenzymes
2. A cofactor, coenzyme and activator of reactions
Term
Magnesium (Clinical Significance)
Definition
Hypomagnesemia
Alcoholism
Malnutrition/Malabsorption
Nephrotic Syndrom
Lactation
Diarrhea
Hypermagnesemia
Diabetic acidosis
Dehydration
Addison’s Disease
Renal disease that leads to retention of Mg
Term
Magnesium (Lab Analysis)
Definition
Collect blood in serum or heparinized tubes
Add specific calcium-chelating agent to reduce interference : example
EGTA: ethylene glycol tetraacetic acid
Potassium cyanide
Add dyes and measure color complexes using spectrophotometry
Calmagite dye: specific for Magnesium
The followings but with Calcium specific inhibitor such as:
Xylidyl Blue “Magon” with
Formazan
Arsenazo
Term
polyglutamate
Definition
folate
lowers intestinal microorganisms
monoglutamate -> blood
Term
Menke's Syndrome
Definition
Steely Hair
Cu down
Genetic
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